Proxima Centauri, Pllc
NPI #1982972857 in Manchester, Tennessee
Provider Information
- NPI Number
- 1982972857
- Entity Type
- Organization
- Organization Name
- Proxima Centauri, Pllc
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Dec 7, 2011
- Last Updated
- Oct 31, 2012
Practice Location
- Address
- 1600 MCARTHUR ST
- City
- Manchester
- State
- Tennessee
- ZIP Code
- 37355-2522
- Phone
- (931) 723-7950
Authorized Official
- Name
- JAMES EDWARDS ROTH, MD
- Title
- PRESIDENT
- Phone
- (931) 723-7950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Chiropractor |
| Clinic/Center - Pain — Pain |
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